NPI 1023377140 · live from the CMS NPI Registry
Mid Coast Dermatology, LLC
Dermatology in Brunswick, ME. National Provider Identifier 1023377140, active.
NPI record
| NPI | 1023377140 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 85 Baribeau Dr, Suite 1, Brunswick, ME 04011 |
| Practice phone | 207-406-2735 |
| Enumerated | May 9, 2012 |
| Last updated | August 29, 2012 |
| Authorized official | Helge Riemann, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 017897 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.